CTHRepealedLegislation
Crimes Regulations 1990
Form 19—Summons under *paragraph 20BW(1)Form 19—Summons under *paragraph 20BW(1)(a)/*section 20BY
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## Form 19—Summons under \*paragraph 20BW(1)(a)/\*section 20BY
Commonwealth of Australia
Crimes Act 1914
SUMMONS UNDER \*PARAGRAPH 20BW (1) (a)/\*SECTION 20BY
IN THE 1
AT 2
IN THE \*STATE OF 3
(Informant)
‑and‑
(Defendant)
To: 4
You are summoned under \*paragraph 20BW (1) (a)/\*section 20BY of the Crimes Act 1914 to appear before the 5 at 6
at 7 to answer the information alleging the breach of the following \*condition/\*conditions of the order under section \*20BV/\*20BY of that Act:
(a) 8; and
(b) 8;
and to be further dealt with according to law.
Dated 9.
10
11
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert name of person
5 insert name of court
6 insert address of court
7 insert time and date
8 list details of alleged breaches of conditions
9 insert date
10 signature of magistrate
11 designation of magistrate
\* omit if inapplicable